EILEEN JAVELLANA (MD) – Internal Medicine Physician, NPI 1003896952

EILEEN JAVELLANA (MD) is a healthcare provider. based in Suwanee, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 045841 (GA). The NPI Number for EILEEN JAVELLANA (MD) is 1003896952

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
EILEEN JAVELLANA (MD)
NPI
1003896952
Phone
(678) 207-4620
Address
1120 Peachtree Industrial Blvd
Enumeration Date
18 January 2006
Last Update Date
7 May 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7702975700
Graduation Year
1995 (31 years ago)
PAC ID
7517925761
Group Practice PAC ID
3274010582
Professional Enrollment ID
I20100827000819
Address ID
GA305013834GA725XXSEXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for EILEEN JAVELLANA (MD)

  • 1120 Peachtree Industrial Blvd

    Suwanee, GA 300242013

    Phone: (678) 207-4620

    Fax: (678) 207-4619

    Type: Location

  • PO BOX 658

    GAINESVILLE, GA 305030658

    Phone: (770) 718-1122

    Fax: (770) 533-4786

    Type: Mailing

  • Longstreet Cancer Center, 725, Jesse Jewell Parkway Southeast, Gainesville, Hall County, Georgia, 30501, United States

    GAINESVILLE, GA 305013834

    Phone: (678) 207-4373

    Fax: (770) 533-4727

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $352.

Total Amount is formed as General ($352) + Research ($0) + Ownership ($0) = $352.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Lilly USA, LLC ($125).

Total Amount

$352

General + Research + Ownership

Payments

8

Total payment records

General Amount

$352

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100827000819IInternal MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes17780$0
80053Blood test, comprehensive group of blood chemicals155110$0
36415Insertion of needle into vein for collection of blood sample14082$0
84439Thyroxine (thyroid chemical), free9681$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count9682$0
View full utilization report →

Insurance plans in this area (ZIP 30024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274010582View full group profile
NameSpecialtyState
Diagnostic RadiologyGA
Nurse PractitionerGA
Diagnostic RadiologyFL
Physician AssistantGA
Nurse PractitionerGA
Family PracticeGA
Diagnostic RadiologyFL
O B S T E T R I C S/ G Y N E C O L O G YGA
General Practice, PathologyGA
O B S T E T R I C S/ G Y N E C O L O G YGA

Reviews

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Frequently asked questions

What unique ID ties claims to EILEEN JAVELLANA (MD)?
NPI 1003896952 is assigned to EILEEN JAVELLANA (MD) under the national enumeration system.
Does this profile mean EILEEN JAVELLANA (MD) is currently active?
Yes — EILEEN JAVELLANA (MD) appears active in the national provider directory.
What does EILEEN JAVELLANA (MD) treat or focus on?
Patients typically see EILEEN JAVELLANA (MD) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does EILEEN JAVELLANA (MD) practice in Georgia?
You will see Suwanee, Georgia on file for EILEEN JAVELLANA (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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